{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T14:32:11Z","timestamp":1793197931749,"version":"4.5.0"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study sought to characterise the demographics, arrest characteristics, clinical outcomes and ED access variables for out\u2010of\u2010hospital cardiac arrest (OHCA) presentations to the Victorian Heart Hospital (VHH), Australia's first dedicated cardiac hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective audit of OHCA presentations to the VHH Cardiac Emergency Department from June 2024 to June 2025 was undertaken. Survival to hospital discharge was the primary outcome. Categorical variables associated with survival were assessed using Fisher's exact test with odds ratios; continuous variables associated with survival were assessed by Mann\u2013Whitney U test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One hundred and twenty\u2010one patients were included; 70.2% male, median age 66\u2009years (IQR 59\u201375). Shockable rhythms accounted for 61.2% of presentations and prehospital ROSC was documented in 92.6%. The primary outcome of survival to hospital discharge was 50.4% and 30\u2010day survival was 40.0%. Shockable rhythm (OR 3.46, 95% CI 1.55\u20137.73), cardiac aetiology (OR 3.40, 95% CI 1.32\u20138.74) and prehospital ROSC (OR 9.23, 95% CI 1.12\u201376.3) were significant categorical variables associated with survival. Interhospital transfer was required in 24.0% of patients primarily due to a noncardiac aetiology of arrest requiring continuity of care at an affiliated centre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this selected postresuscitation OHCA cohort, survival to hospital discharge was 50.4%, with high rates of prehospital ROSC, shockable rhythm and witnessed arrest. These findings should not be interpreted as evidence of superiority over population\u2010based OHCA cohorts. ED access variables, including a 24.0% interhospital transfer rate, represent novel system\u2010level findings warranting prospective investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70355","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T01:01:02Z","timestamp":1790125262000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postresuscitation Out\u2010of\u2010Hospital Cardiac Arrest Presentations to Australia's First Dedicated Cardiac Hospital: A Retrospective Audit of Outcomes and Emergency Department Access Factors"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6150-5972","authenticated-orcid":false,"given":"Thenul","family":"Munasinghe","sequence":"first","affiliation":[{"name":"School of Clinical Sciences at Monash Health Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0117-3298","authenticated-orcid":false,"given":"Kaylie","family":"Shaw","sequence":"additional","affiliation":[{"name":"Cardiac Emergency, Victorian Heart Hospital, Monash Health  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Charteris","sequence":"additional","affiliation":[{"name":"Cardiac Emergency, Victorian Heart Hospital, Monash Health  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2068-8757","authenticated-orcid":false,"given":"Joe Anthony","family":"Rotella","sequence":"additional","affiliation":[{"name":"Cardiac Emergency, Victorian Heart Hospital, Monash Health  Clayton Victoria Australia"},{"name":"Victorian Heart Institute (VHI), Sub Faculty of Clinical and Molecular Medicine, Faculty of Medicine Nursing and Health Sciences, Monash University  Clayton Victoria Australia"},{"name":"Department of Critical Care, Melbourne Medical School University of Melbourne  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2010.08.006"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-020-2773-2"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2022.01.011"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.116.024400"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2008.09.017"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.988725"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCC.0000000000000934"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2019.02.006"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2012.10.026"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000144"},{"key":"e_1_2_10_12_1","unstructured":"Foundation PS \u201cPython (Version 3.12) \u201d."},{"key":"e_1_2_10_13_1","volume-title":"National Statement on Ethical Conduct in Human Research","author":"Council NHaMR","year":"2023"},{"key":"e_1_2_10_14_1","unstructured":"National Health and Medical Research Council \u201cAustralian Research Council Universities Australia. 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